Healthcare Provider Details
I. General information
NPI: 1942468020
Provider Name (Legal Business Name): ARLIGNTON HOME CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2008
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2209 ARLINGTON AVE
TORRANCE CA
90501-4439
US
IV. Provider business mailing address
2209 ARLINGTON AVE
TORRANCE CA
90501-4439
US
V. Phone/Fax
- Phone: 310-212-6365
- Fax: 310-320-1924
- Phone: 310-212-6365
- Fax: 310-320-1924
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320600000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name:
PRITAM
S
MATHARU
Title or Position: PRESIDENT CEO
Credential:
Phone: 310-212-6365